Individual provider Active NPI

Laurence Kobina Entsuah, M.D.

  • Gastroenterology Physician
  • Lancaster, OH
National Provider Identifier
1932179348
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-08-3222-E Issued in OH
Practice address
1548 Sheridan Dr
Suite 100a
Lancaster, OH 43130-3360
Phone
(740) 681-9575
Fax
(740) 681-9747
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35-08-3222-E OH Primary

Addresses

Primary practice location

1548 Sheridan Dr
Suite 100a
Lancaster, OH 43130-3360

Mailing address

1548 Sheridan Dr
Suite 100a
Lancaster, OH 43130-1378
Phone (740) 681-9575

Other identifiers 1

IdentifierTypeStateIssuer
200214706MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1932179348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 SHERIDAN DR",
            "address_2": "SUITE 100A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301378",
            "telephone_number": "740-681-9575",
            "fax_number": "740-681-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 SHERIDAN DR",
            "address_2": "SUITE 100A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303360",
            "telephone_number": "740-681-9575",
            "fax_number": "740-681-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTSUAH",
        "first_name": "LAURENCE",
        "middle_name": "KOBINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-08-3222-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200214706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.